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I don't know how to feel about this. Not because she's taking weight loss medications, but because she's taking these 2 together. I've done about 4 hours of research and 95% of what I read says NOT to take these 2 meds together. The other 5% is from people who take them together and have had excellent results. She gets the phentermine from her doctor and the tirzepatide from a compounding pharmacy (they mix it with sterile saline and not b12 or niacinamide). I don't think she's told either provider that she's taking them together, and I can't help feeling like there's a reason she's hiding it. I'm on here partly to vent because I've shown her the research and expressed my concerns and she isn't listening, but also because I'm wondering if anyone here has combined phentermine with either tirzepatide, Zepbound, or Monjauro, and if so, how did it go?

Okay here we go. 1: Pre op stats 91kg BMI 35 2: Surgery Gastric sleeve 3: Lowest weight post surgery 48.5kg BMI 18.7 at about 18 months. 4: Maintenance weight 48.5kg. Stayed there for about 18 months when I suddenly increased to about 51kg. Realised I wasn’t absorbing my HRT med after my gall removal. Changed my meds and my weight slowly settled at around 49kg after another 18 months. The last 6 months has seen me back to 48.5 again though I was 48.2 this morning. Strange is I actually eat about 300 calories more now (last 2+ yrs) than I did when I initially stabilised. 5: Fluctuation Initially my fluctuation was exactly 1kg so 48.5 - 49.5. Weird I know. It’s been more 700 - 800g the last 18months so very narrow. 6: Methods to maintain & what worked or didn’t work. Work out a sustainable way of eating which doesn’t restrict or limit what you want to do & how you want to live your life. (I know I say this a lot but it’s worked for me.) Still be flexible with your eating style. Don’t be afraid to make changes: different foods or food types, frequency, etc. If it works & you can still maintain great. If it doesn’t drop it & try something else. I don’t enjoy traditional exercising. No gym for me, running miles or getting sweaty. Around 18 months ago I started my exercise snacking (stretches & using resistance bands) habit. Not to burn calories but to regain flexibility & to support my back. Muscle toning has been a bonus. I enjoy it, it’s easy and I do it or a variation every day. 7: How my life has changed It’s just easier in a whole lot of little ways & other things are much sweeter. Yes, I work at maintaining. I’m more aware of what I put in my mouth, its nutrient value & how much I eat but a lot of this is second nature/habit now so not as much ‘hard’ work anymore. Generally I feel more confident though I wouldn’t say I was lacking confidence before. I’m honest enough to say I’ve become more vain though I was always conscious of how I presented myself to others. It’s just a lot more. Just ask my cosmetic physican - LOL! 8: Cautionary tales & words of wisdom Always advocate for yourself. Not happy with an answer ask more questions, for more testing &/or a second opinion. Do your own research & go back with more questions. Be honest. Ask for help. Be flexible. Make the best decisions you can in the situation. Don’t compare yourself to others. Don’t beat yourself up if things don’t go the way you thought. Things/life happens. It’s how you pick yourself up & move forward again that matters. Find what works for you in regards to how & what you eat, what activity you do & so on. Research, cherry pick across many strategies & plans, test them out & adopt those which work for you. There is no one right way just what’s right for you. This journey isn’t a straight, flat road in one direction. There’ll be hills and valleys, rugged mountains & deep, wide rivers. There’ll be blind corners & round-abouts. You’ll face detours, delays & road works. Your destination may not be where you initially planned but it will be a wonderful, amazing & far better place to be than where you were before you started. And there will be many other fabulous destinations ahead of you.

Had an appt with my Dietician and I am so irritated, like so bothered! I told her that I weight train 6x a week on top of cardio 6x a week. Went over how much I ate and what type of foods and she told me I am eating too much protein, and I need to stop drinking my proffee in the morning only have decaf coffee. She said I need to eat under 100g of protein even though I am weight training. I could not respond, I am not trying to be thin my goal is to get fit and shapely which is why I weight train. My multivitamins I have to adjust which I knew I needed to. I feel so discouraged by what she said, she told me that the 1000 cal is "ok". I asked what that meant, she said I am on the higher scale of what I should eat at 5months post op, I told her but I workout for an hour plus a day? If I ate less I would pass out from exhaustion. My post surgeon team completely left me to figure this all out on my own. I was supposed to have a 6 week and 3 month group appt which she asked why I didn't attend....I told her because your team never called me to set them up and I didn't know that was even a thing. So I have been on my own since week 2. I thought I was kicking ass and taking names, now I am so bummed. Just venting

Adding my info! 1. Pre op weight, BMI or measurements 249-250 lbs BMI of 44 2. Surgery type VSG in 2017 then RNY in 2019 3. Lowest post op weight, BMI or measurements and when it occurred 150lbs BMI 27 around 1 year post op 4. Maintenance weight, BMI or measurements and when it occurred 155 lbs BMI 27 around 18 months post op 5. Bounces (up or down) in weight, BMI or measurements and when they occurred I can bounce up and down 5-10 lbs depending on the season but my lowest was a 20 lb drop during an E.Coli infection 6. Methods used to maintain and what has/has not worked What works for me: Weighing daily/weekly, spot checking calories, low cal/keto substitutes, 90% disciplined eating and 10% debauchery. What does not work for me: gym membership as motivation, unsustainable diets and GLP-1 meds (as of now) 7. How your life has changed (losing vs maintaining perspective) During the losing phase I was very rigid almost never went off plan, now everything I want can be worked into my plan and I’m more relaxed. 8. Words of wisdom/cautionary tales/stories of beating the odds Cautionary tale: Don’t suffer in silence with reflux, push for answers and relief. Absolutely never compare yourself to anyone else. Don’t guilt spiral after a little weight gain, try to correct it as soon as you notice. A small gain is very likely in our population after reaching your absolute lowest weight. I remember when I first joined there was a some chatter about being absolutely perfect or you’ll gain it all back and it made me really anxious. Don’t be afraid to ask for help and other tools from your team. We are not quite the same as the never obese population so our bodies may play by different rules. Word of wisdom: Document your journey if you can. I don’t really remember what it was like to be in my obese body anymore, I only vaguely remember feeling bigger. Have other goals apart from losing weight. Once the newness of WLS wears off you may want to continue the momentum of achievement. If you want plastics (and there are no obstacles beside fear) definitely go for it. The recovery can be tough but it completed the journey for me and others I know.

I have 3 kids 12, 6 and 2. I did not tell them. The day that I went my mom stayed over and hubs and I told the kids that I had to go to the doctors because my stomach needed to get checked and fixed. Now all they see is that my eating habits have changed, and I workout every day. So they just think that I made a lifestyle change and got thinner that way. My oldest is my step son and his mom is very very body conscious and body shames? She struggles with her weight and has made comments how my daughter has slimmed down, or how the 12 has finally lost his baby weight and will barely eat. I nip that in the butt quick! I have to tell her that we cannot speak negatively in front of our kids, its going to cause a complex like we have. I grew up with my mom always talking about weight and she still does. I try my best to not surround our conversations on negative body image. I do home work outs 2-3x a week and sometimes with my daughter who is 6 asks to work out with me to get skinny, I tell her its not to get skinny its to get strong and stay healthy. So I try to just surround our convos around that. Its tough with kids!

@Noelle74 congrats on your weightloss! @BlueParis you look great btw and thank God I’m not French! 😂 I can’t imagine living somewhere where I felt ashamed of myself constantly because of my weight….. not that I haven’t in the past here in the states but never consistently as you’ve described. It’s interesting bc I’m fairly educated and a registered nurse to boot and still managed to become obese even having a very extensive knowledge of nutrition. I feel like a lot of “skinny” people just think that fat people are lazy and have no self control when often that isn’t the reason (or at least the only reason we are fat). For me at least, my obesity is multi-faceted…. a) I love food, particularly yummy fattening food and sweets and I DO lack self control when it comes to overeating. See d) below lol b) I also have diagnosed PCOS which makes me insulin resistant so I don’t metabolize carbohydrates like a normal person and they make me gain weight fast as opposed to someone who isn’t insulin resistant. This just makes it difficult to maintain a healthy diet for me and others like me in the long term bc you almost have to steer completely clear of carbs ALL the time. And I mean most carbs….bread, fruit, etc. c) Like @NickelChip has pointed out, at least here in the states, its like you’re set up for failure from the get go if your busy……it’s soooo difficult to eat healthy on the go if you don’t prep ahead. Good luck “grabbing” something while you’re running around that’s easy, cheap and isn’t processsed to death and horrible for you lol. And I swear the food in European countries is better than here and less processed. 🤷🏼‍♀️ Who knows? d) I’m flat out a food addict……I have no doubt. I mentioned one time before, I was a heavy smoker until January. I only quit because my surgeon made me. lol. I have tons of alcoholics and drug addicts in my family. I’m someone that truly believes that addiction is partially genetic. My addiction just happens to be food and tobacco. Not to say that you can’t overcome this. It’s just something that is and another hurdle to jump. I mean who knows, maybe if I lived in France I’d be shamed into being skinny? But that just sounds like a miserable position to be in. I’m glad you’re getting tiny again @BlueParis so you don’t feel that way and for your health and cerebral palsy. For now I’m with @LisaCaryl and @NickelChip, I would like to be healthier and it would be nice to be able to buy clothes in the regular store/department and not the fat lady store. At 288# I had gotten to where I never wanted to leave the house bc I was ashamed of what I looked like. But I’m in an 18ish now and at least no longer feel like I have to hide my giant fat self inside anymore. So that’s definitely a win for me right!? @LisaCaryl keep us updated on your knee…..Hope it’s ok, you probably need an anti inflammatory but they’re harsh on the stomach so be careful! @RonHall908 I wish I was like you with your exercising! I envy that strength and drive you have bc I’m lacking that. I did however get my Pilates bar today and did the workout that @NickelChip posted. Now I just have to keep up with it. We’ll see 😉

You both look so much younger. If we had, couple of the year like at weight watchers, you two would defo get my vote. Thank you for sharing, its made my day

Since I started my weight loss journey 2 years ago with my first surgery, he decided to change his eating and exercising habits. I lost 200 pounds in 2 years, he lost 66 pounds in 2 years. We're both absolutely thrilled My A1c went from 7.9 to 5.0, no more more high bp or diabetes or high cholesterol (mine went from 249 to 170). His A1c went from 12.8 (yes you read that right) to 5.9, no more high bp, and his cholesterol went from 266 to 194. I went from a size 30/5x to a size 14/XL. He went from a size 52 waist to 42. And from a size 3x shirt to XL. And we go on 3+ mile walks together twice a week and he works out for an hour to an hour and a half twice a week with me (I work out above and beyond that). He's changed about 80% of his eating habits. He's more confident and happier, as am I . It certainly helps when you have a supportive spouse that wants to better themselves because they see you doing well and get inspired. That's what he told me

So I studied in Berlin for 2 years - when I left Paris I was a size 34… and as the years went by I was still a size 34 in Berlin… and then I got back to Paris and realised I’d gained a size … insidious indeed! But yes, French women and esp Parisienne women tend to be pretty small! The average BMI for a French woman between 30 and 50 years old is 23.2 and for a Parisienne woman between 30-50 years old it’s 21.1! I’m still the fattest woman in my office and friend group by quite a bit - I think (but I’m not sure) that weight is also highly correlated to level of education here and I work in an office with 95% of PhDs … that might explain it..: that or the fact that black expresso and a cigarette is considered breakfast (also guilty of this). It’s hard because you have to « enjoy » food and the wine and the cheese and the pâtisseries at social occasions but you’re also judged very severely for being even the tiniest bit overweight - so basically you have to starve in private. Things are slowly changing but up until about 5 years ago it was basically mission impossible to find any clothes over size 42 ( American size 10) on the high street. Fat people (esp fat women) are despised. I was treated so badly when I was fatter, with so much disdain, so much rudeness, so much disregard. In French public space women’s bodies exist to be desirable and desired. To put it crudely if you don’t look « fu**able » enough you’re not welcome in public spaces… ( also see parralel with female headscarves being forbidden in public spaces and even wetsuits for women being forbidden on some public beaches ( must be swimsuit or bikini) because wetsuits were seen as Islamic propaganda)… In France women’s bodies belong to the male gaze. It’s a complicated issue.

Hi there! I didn't see the doc on Monday because my knee felt slightly better. However, it's not good now, so my husband is taking the day off to help me around the house and take me to the doctor! Thank you for asking!! We have a bunch of animals, and trying to care for them on my own is pretty impossible right now. It's crazy how different our sizing is! I wish we had a universal system for weights and measures. Maybe someday, but I'm too old to convert at this point. Lol. I hope you broke your stall!!!

I absolutely LOVE to pull out my historical spreadsheets! thanks for giving me an excuse to do so!!! 1. Pre op weight, BMI or measurements 2. Surgery type VSG (Sleeve) October 24, 2018 3. Lowest post op weight, BMI or measurements and when it occurred 4. Maintenance weight, BMI or measurements and when it occurred Stabilized at about 115 lbs (BMI 21) around June 2020 and stayed that way for about a year or so. Unfortunately i don't have measurements for that time but i think they were similar to my lowest post op weight above. 5. Bounces (up or down) in weight, BMI or measurements and when they occurred around year 3 i averaged closer to 120 lbs (but rarely ever above 120), and have stayed that way until today (almost 6 yrs post op). This morning I weighed in at 119.4 lbs. 6. Methods used to maintain and what has/has not worked i track my food intake almost daily i weigh myself daily when i have access to scale (i also take my measurements once a month) i engage in regular exercise. i try to NOT eat to fullness (don't always succeed) if i want to eat something, i do, but i generally limit it to tastes/bites, vs full on meals. i generally ONLY eat things i really want to, and skip the stuff i deem "not worth it", as i consider it a waste of valuable stomach real estate. 7. How your life has changed (losing vs maintaining perspective) i eat carbs now lol (i avoided them like the plague during weight loss phase, and a year or so afterwards). its been a while for me know and i do notice that i am not as worried as i used to be about regaining weight. i think i've learned to trust myself in that i can make good decisions about my health and weight maintenance, and that i know i am flexible/resourceful/confident enough to make changes and adjustments WHEN things change. i guess that is it really, i am exponentially more confident than i was before: in terms of decision making, self-image, relationships, dealing with stress, all of it. I am so much more CHILL. Life is really good (plus im super HAWT, lol) 8. Words of wisdom/cautionary tales/stories of beating the odds Don't give into the angst. Don't try to do stuff that is beyond your abilities or desire. Don't compare yourself to others. Exercise. Drink water, Wear sunscreen.

Great idea! Pre-op weight/BMI: 286lbs 49.1 BMI Surgery: VSG 08/2019 Lowest weight/BMI 142lbs 24.4 BMI Feb 2020 Maintenance weight/BMI: 150lbs 25.7 BMI I bounce from 145-150. I’m happy and healthy here, although at 150 a smidge over “normal” BMI. My doc is happy too. I maintain by continuing to use My Fitness Pal daily to track intake, exercise and weight. I exercise regularly, mostly walking and biking. Life is so much better in so many ways. No worries about a seat extended on planes or intruding on my neighbor’s seat. Buying whatever clothes I want in the regular section. No more aching knees, ankles and back. I was one of the statistical many whose relationship was negatively affected by my surgery. I went through a divorce about a year and a half post op. However, I’m now in a relationship that is happy and healthy with a wonderful guy who supports me in every way.

It has been a while since a maintenance mega thread has been created. Can we share how things are going? For everyone officially maintaining vs losing, please share: 1. Pre op weight, BMI or measurements 2. Surgery type 3. Lowest post op weight, BMI or measurements and when it occurred 4. Maintenance weight, BMI or measurements and when it occurred 5. Bounces (up or down) in weight, BMI or measurements and when they occurred 6. Methods used to maintain and what has/has not worked 7. How your life has changed (losing vs maintaining perspective) 8. Words of wisdom/cautionary tales/stories of beating the odds Thanks!

I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for.

@LisaCaryl How's your knee? Did you see a doc at the clinic? Re wardrobe, I had a clear out and gave a lot of things to my cleaning lady and have just been going down to my cellar to get old clothes out. I have bought a few new dresses, but I but far too many clothes anyway... I'm a french size 38/40 now and hope to be a 36 by the end of the summer which will allow me to fit into most of my old clothes .... but unfortunately not my fave dress which is a 34.... that still seems like pipe dream right now. My posture is getting better and I have less pain in my legs which is nice. 2 days until I'm back home and can weight myself to see if I've broken my stall.

It was a mix of everything for me - holiday last year where I could barely move due to ridiculous pains in my knees that wouldn’t stop. I thought it was a Rheumatoid Arthritis flare initially but nope, just Osteoarthritis because I’m fat. I was so miserable. The holiday was ruined and hubby was really worried. Had physio and steroid injections when we got back home but nothing worked. I was 55 but felt 85. It felt like I had nothing to look forward to, life seemed very small as I didn’t leave the house. Pain is constant, nothing touches it, sleep is continually disturbed and I just felt unhappy generally. I wasn’t depressed but it was a very fine line I was walking, and I knew it wouldn’t take much to tip me over into depression. I’ve always been able to see the positives in pretty much any situation but I couldn’t this time. Hubby has his own mobility problems due to nerve damage in his lower back from an op that went wrong, and all that kept going through my head was how were we going to manage with everything? I was the one who had kept everything ticking over but I couldn’t do it anymore. I hated my body, never let hubby see me naked, couldn’t play with my granddaughter, clothes were chosen just because they fit not because I actually liked them etc etc. I spoke to a female GP about HRT as I had just started it but had to change how I took it because of my weight. I was having a major panic because HRT was the only thing stopping me from acting like a crazed homicidal manic! My GP was fantastic, I actually felt listened to for the first time. It was then that I asked about what I could so about my weight as I’d had enough and nothing was working. Every time I dieted, I put it all back plus more. I’d had Orlistat that didn’t work and had looked at the jabs but couldn’t afford £250 a month. My GP didn’t hesitate and talked me through my options, saying she would support me. She referred me that week and, after a bit of hoop-jumping, I’m now on the WLS pathway. I already feel better about things and I’m excited for the future 😊

I like crispy tofu in the airfryer. Block of Tofu/Cornflour/Spices/Oil Spray/Salt/Pepper You need firm tofu. A couple of hours before you want to eat take the tofu out of the package and blot it dry, then stack a couple of sheets of kitchen paper above and below it (or clean tea towels) then put a plate with a weight on top of it for 5-10 minutes. In a big bowl add a a big tablespoon of cornflour and the spices/seasonings of your choice for example garlic powder/paprika/liquid smoke/dried lime rind Herbes de provence/ lemon zest and juice/ground bay Cumin/Tumeric/dried corriander Soy sauce/sesame oil/garlic/ginger MSG/orange juice and zest/maple syrup/clove powder/cinnamon/chilli/onion powder Mix your cornflour with your spices and seasonings until well mixed or if you have liquids in your seasonings until its a smoothish paste Wipe the tofu dry again and cut into cubes, tip the cubed tofu into the bowl with the cornflour and seasoning mix and shake the bowl vigorously until the tofu is covered in the seasoning mix. If some of the tofu breaks into crumbs this is not a problem. They will just be extra crispy crumbs! It's best to let the tofu marinade for at least 15 minutes to a few hours but I often skip this part because I don't have time. When you're ready to eat preheat your air fryer to 200°c/400°f. Open the airfryer drawer and spray with oil, tip the tofu in and give it a spray. Shake after about 7-8 minutes and then put back in for another 7-8 minutes of until crispy. Enjoy! You'll find a lot of youtube/internet recipes that are probably easy to follow then mine if you google "airfryer tofu". It's nice as a protein without feeling too "woodstock crunchy vegan"

I will have to try the kale chips too! Stalking your recipes Blueparis, lol! . Congrats nickelchip on the stall break. I managed to lose 4lbs so far this week. I’m 9lbs from being at a normal bmi and 19lbs from where my surgeon wants me to be which i guess is the lower end of the normal range bmi for my height. Personally I’m just counting down to being within normal range at all. I have two dresses I’m still dying to fit into so hopefully I’ll get there eventually. I desperately need to tone up now that I’ve lost some weight but I’m struggling with my energy levels.

For all my currently stalled folks, I want to offer some hope. I hopped on the scale this morning (like I do every morning) and I was down another 2 lbs. Since yesterday! That makes 6.4 lbs in a week, which is more weight than I've lost in one week since my very first week on my pre-op diet. I am in shock because I was so convinced deep down that the stall was going to be the beginning of even slower weight loss for me, especially now that the magical "first three months" was over. So don't lose hope! In other news, I finally bought that air fryer I've been thinking about for a year, so hit me with your simple, go-to air fryer meals!

I had a very bad ankle injury in 2022 which reduced my mobility and I wasn't able to workout much or move because of the pain. I felt my weight creeping up because I was buying XL clothes and everything was still very tight (I had already put on 30 lbs the past few years so I was already heavier than I ever was) but I never weighed myself (my biggest mistake) so I had no idea how much heavier I was? I started entertaining the idea of WLS because nothing else worked (dieting, working out, even liraglutide) - mind you this was not even on my mind before - and saw the surgeon on Feb 2023 to see if he would even do it, and he said he would and that he recommended VSG for my case. Had a chat and decided I will put it on hold because I wasn't mentally ready. Fast forward to summer 2023 and we were travelling, we were in a water park and my 8 year old and I decided to go for a ride and I was panting going up the stairs to the big slide. While we queued the staff asked us to step on the weighing scale to see if we're under the weight threshold and I really didn't want to be weighed, my heart was pounding and my palms were sweating and once my daughter and I stepped on the scale the staff goes: "you're almost beyond the threshold but I'll let you go" and it was as if a slap was delivered across my face. I did the math in my head and realized that I have reached a weight I never ever saw even while pregnant (funnily I barely gained any weight in both my pregnancies and snapped right back). I came back from my holiday and booked my surgery for December. Best decision of my life.

While I was losing I didn’t cheat. In saying that as I got close to my goal & then when trying to maintain, I stated developing a way of eating that would allow me to enjoy the foods I wanted to, enjoy my life & how I wanted to live it, and still maintain my weight. Actually I don’t like the word ‘cheating’ in regards to eating. Too negative much like the word ‘diet’. To me they mean failure, weakness & punishment. However or whatever you chose to eat now or in the future must be sustainable. It must complement your lifestyle and support your weight loss & long term maintenance. If you choose to eat in a restrictive way that means you can’t participate in social activities or makes you feel you’re missing out, it’s destined to fail. Especially if you are defining any diversions off that path as cheating. But if you adopt a way of eating that is flexible, means you can have pizza with your family or friends, or have birthday cake, or whatever & you accept this as just how you eat in your life, it will be sustainable and lead to long term success. You’ll have to consider portion size, frequency, alternative ingredients or cooking styles but it certainly isn’t cheating in my thinking. Well that’s what I believe.

The stress of the surgery, the weight loss, hormonal changes, etc. accelerates your natural hair loss cycle. So the hair you are losing would have fallen out at some time it’s just happening faster. As @vsgcriminal said it’s very common, it starts around month 4+/- & lasts 3 or 4 months. It’s common after times of high stress, pregnancy and other major surgeries. It’s also quite common to undergo a period of heavier hair shedding every 7 or so years. (Just had one which lasted four months with a similar loss to my post surgery loss.) Yes, it can be scary at first but it usually isn’t really noticeable except to you & your hairdresser. Many of us cut our hair shorter so it takes less time for your new growth to catch up to the length of your hair. (You’re still growing new hair just at its usual rate.) Plus shorter hair is always bouncier and therefore looks thicker. How much hair you lose is very much an individual thing like most things after. Remember though the hair on your head is already dead and was ‘scheduled’ to fall out. Any additional vitamins or hair growth supplements will only help strengthen new growth. (Fertiliser can’t save a dead plant 😁.) And those who do take supplements find the hair loss still lasts 3-4 months. My hair grew back as thick as it was before surgery.

i used to get that in the early days/months of wls. it got better as time went on. my doc called it orthostatic hypertension and is apparently a common condition during rapid weight loss and even just after a surgery (wls or not). but my blood pressure readings were always on the low side...not normal like yours. are u eating less than normal? i do recall u just had a recent surgery...did it start after that? p.s. at the time my doc said to add more salt to my diet...which was fine by me cuz i love salt 🤷🏻‍♀️

Orthostatic hypotension or postural low blood pressure. Your blood pressure drops on standing or sitting up because your blood pressure is low it takes longer for the blood to get back up to your head on changing position. Hence the dizziness & narrowing of your vision (if you get that too). I get it all the time. I can even get it if I stretch up to get something from a high shelf like at damn supermarkets. Keep hydrated, which you would be, get up slowly & then wait 10-20 seconds before moving. Some say pumping their legs or rotating their ankles before standing helps but it doesn’t for me. I was on a med for low blood pressure for a while but it didn’t help. I just live with it. Do try to grab for a table, chair, wall or even person if it happens just to ground me for those few seconds until everything stabilises. Sometimes I’ll bend over (head at waist level) so the blood gets back to my head faster. I always had a tendency for this (low blood pressure runs in the family) so the only surprise was the frequency of it since my weight loss.

I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?